Fort Worth daily gazette. (Fort Worth, Tex.) 1882-1891, 1887-02-23
function of speech and its anterior neigh
4 ..IkILLFrL OPERATION.

t5KILLFUL OPERATION.
The patent was brought into the Oper-
ating room at 80 O'Clock in the after
noon. He had previously been put under
the effect of ether and had had the top of
his head shaven. The operation was COM
nlenced at once-a semi-circular incisiou
was made midway between the ear
and crown through the scalp and
underlying muscular aphoneurosis;
these tissues were laid back revealing
the bony roof OF the Uranium. The bone
was scraped and q tTephine an inch in
diameter was slowly worked into the
skull at point immediately over the
assure of Rolsndo, some three inches
down from the medisn line. Its sharp
teeth were soon throwing up little "bitesr
OF bone as with 8 grating sound its work
was performed. The skull was rather
thick, its external plate being unusually
so, while the inner plate was thin COM
paratively When the bone was entirely
cut through, an elevator was used to
withdraw the circular piece, which done,
the opening revealed the durs mater
witoin o. an unusually red color. 1t did
not protrude into the wound, nor was any
encephslonic pulsation apparent. Evil
IDENTIFY something was wrong, as both pull
sation aEd protrusion are always present
in normal conditions at the wound when
the brain is trephined. From the way
the dura felt water was suspected
of being beneath, or else the
looked-for tumor. A fine operat-
ing needle was first tried. 1t
withdrew small amount of amber-col-
ored fuid, but pulsation was not restored
An incision was now made into the durs,
and as this membrane was reflected from
within the wound q peculiar arrangement
of red tbrous or rather "stringy" tissue
was found to lie over and hide the brain
from sight. To see this better the cir
cular incision was enlarged with a bone
forceps. Then was scovered q round
b. dy somewhat resembling the brain SUBJ
stance, but not pulsating, entirely en-
bedded in the red fbrous meshwork.
What was il? A tumor or not: What
ought to be done with it?
THE TUMOR REMOVED.
Such were the questions that presented
themselves. A consultation of the sur
geons present decided that it must be the
tumor looked for, and that it ought to be
removed. 4 larger opening was made in
the bone. More ether was given and
hypodermic injection of morphine. The
removal of the tumor was then COM
menced. 1t adhered in a number of
places to the brain convolutions, and they
were lacerated mere or less in its
removal The growth had forced the
convolutions i'll ali directions and they
presented an odd arrangement. This &C
counted for the severe headaches the
patient had suffered from as well as the
epilepsy. After an hour and half of
work of the incest kind the growth was
successfully removed; it was as large as
q pullet's egg and wedge-shaped, its
point being downward. The wound was
washed out with an antiseptic solution,
the scalp closed and q cotton compress
applied over ell.
The patient had on the night before the |
operation thirteen convulsions-on the |
night after he slept well after getting over
the ether-and since has not had return |
Of the terrible disease from which he suf- |
fered SO long. 1t is hoped that his recov-
cry is only matter of time. What caused |
The tumor it has not been possible to dis |
cover, but it is evidently the sole cause
Of Mr.. Browns troubles.